Primary Treatment By Open Reduction Gives Better Results Than Corrective Arthrodesis
Main Category: Bones / OrthopedicsArticle Date: 03 Nov 2008 - 8:00 PDT
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Fracture-dislocations of the tarsometatarsal joints are often misdiagnosed during initial presentation and are therefore treated with secondary corrective arthrodesis. However, research published today in concludes that 'primary treatment by open reduction and internal fixation...leads to improved functional results, earlier return to work and greater patient satisfaction'.
The study took place over five years and provides medium term results of treatment for tarsometatarsal fracture-dislocations, during this time nearly as many patients presented with painful residual deformities after malunion as were treated for acute injuries. Almost one third of this group of patients had been misdiagnosed at initial examination.
The authors conclude that because primary treatment with open reduction and internal fixation lead to significantly better results in injuries of this type 'care should be taken to not overlook the sometimes subtle clinical and radiographic signs of these injuries, as residual deformities can lead to severe functional impairment'.
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The Journal of Bone and Joint Surgery - British Volume is a world leading orthopaedics journal with an Impact Factor of 1.868. JBJS-Br publishes twelve issues a year of high-quality, peer-reviewed research, overseen by an international editorial board led by Editor James Scott.
The Journal was first published in 1948 by The British Editorial Society of Bone and Joint Surgery, a registered charity (No. 209299), with the object of the advancement and improvement of education in orthopaedic surgery and allied branches of surgery and the diffusion of knowledge of new and improved methods of teaching and practicing orthopaedic surgery in all its branches. You can find out more about The Journal at http://www.jbjs.org.uk
Source
Becky Hall
Journal of Bone and Joint Surgery, British Volume
http://www.jbjs.org.uk
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MLA
16 Feb. 2012. <http://www.medicalnewstoday.com/releases/127940.php>
APA
http://www.medicalnewstoday.com/releases/127940.php.
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